ISSN 2490-3329 (Print)
ISSN 2303-7954 (Online)

Volume 49, Issue 1, Article 10

(Scr Med 2018:49:61-64)

Right Pulmonary Artery Aneurysm Mimicking Tumor on Chest X-Ray in Patient with Eisenmenger Syndrome

Amra Macić– Džanković1, Lamija Pojskić2, Belma Pojskić2, Fuad Džanković3, Gordan Bajić4

1 General Hospital “Prim. Dr Abdulah Nakaš“, Sarajevo, Bosnia and Herzegovina
2 Cantonal Hospital Zenica, Bosnia and Herzegovina
3 Clinic for Orthopedic and Trauma, University-Clinical Center Sarajevo, Bosnia and Herzegovina
4 Pan-European University “APEIRON”, Banja Luka, Bosnia and Herzegovina

doi: 10.18575/
UDC: 616.13-007.64/.141
COBISS.RS-ID: 7318552


A 66-year-old patient with previously diagnosed largeventricular septal defect and Eisenmengersyndrome(ES) performed a preoperative(planned inguinal hernioplasty) chest x-ray that showed a tumor-like lung mass,which led to a chestCT scan. The ChestCT scan showed an extremely dilated right pulmonary artery which mimicked tumor with rarely described atherosclerotic changes in the right blood flow with calcified plaques and thrombotic masses. Since pulmonary artery thrombosis is common in adults with ES,it is our belief that anticoagulation should be considered in this group of patients.

Key words: Eisenmenger syndrome, ventricular septal defect, pulmonary artery aneurysm

Pdf version of article

1. Kaemmerer H, Mebus S, Schulze-Neick I, et al. The adult patient with Eisenmenger Syndrome: a medical Update after Dana Point Part I: epidemiology, clinical aspects and diagnostic options. Curr Cardiol Rev. 2010;6(4):343-55.  PMid:22043211 PMCid:PMC3083816
2. Broberg C.S., Ujita M., Prasad S., Li W., Rubens M., Bax B.E., et al.Pulmonary arterial thrombosis in Eisenmenger syndrome is associated with biventricular dysfunction and decreased pulmonary flow velocity. J. Am. Coll. Cardiol., 50 (7) (Aug 14 2007), pp. 634-642  PMid:17692749    
3. Theodoropoulos P, Ziganshin BA, Tranquilli M, Elefteriades JA. Pulmonary artery aneurysms: four case reports and literature review. Int J Angiol. 2013;22(3):143–48.  PMid:24436601 PMCid:PMC3770974   
4. ChungCW, Doherty JU, Kotler R, Finkelstein A, Dresdale A. Pulmonary artery aneurysm presenting as a lung mass. Chest1995;108:1164–1166. Crossref, Medline  PMid:7555134    
5. Ucar, O., Sahin, D., Vural, M. et al, Thrombosed giant proximal pulmonary artery aneurysm [in Turkish]. Turk Kardiyol Dern Ars. 2009;37:493–496. PMid:20098046    
6. Silversides, C.K., Granton, J.T., Konen, E. et al. Pulmonary thrombosis in adults with Eisenmenger syndrome. J Am Coll Cardiol. 2003; 42: 1982–1987  PMid:14662263    

Contact address:
AmraMacić – Džanković,
Department of Cardiology ,General
hospital „Prim. Dr Abdulah Nakaš“
12 Kranjčevićeva,
71 000 Sarajevo
Bosnia i Herzegovina
e-mail: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
phone number: +387-61-177-743

Submitted: February 8th, 2018
Accepted February 28th, 2018